临床与超声指标对剖宫产切口部妊娠术中出血量的预测价值  

The Predictive Value of Clinical and Ultrasound Indicators for Intraoperative Bleeding Volume in Cesarean Scar Pregnancy

作　　者：张洁莹 万辉[2] 刘莹莹 芦钺[3] 杜建文[3] ZHANG Jieying;WAN Hui;LIU Yingying;LU Yue;DU Jianwen(Chengde Medical University,Chengde 067000,Hebei,P.R.China;Department of Gynecology,Chengde Central Hospital,Chengde 067000,Hebei,P.R.China;Department of Ultrasound Diagnosis,Chengde Central Hospital,Chengde 067000,Hebei,P.R.China)

机构地区：[1]承德医学院,河北承德067000 [2]承德市中心医院妇科,河北承德067000 [3]承德市中心医院超声诊断科,河北承德067000

出　　处：《影像科学与光化学》2023年第6期358-363,共6页Imaging Science and Photochemistry

摘　　要：探讨影响剖宫产切口部妊娠(CSP)术中出血量的危险因素,寻找能预测CSP术中出血量的临床及超声指标。采用回顾性研究的方法,分析133例CSP患者的临床资料和超声资料,按照术中出血量是否大于100 mL将患者分为A组(出血量<100 mL)和B组(出血量≥100 mL),使用Logistic回归分析患者术中出血量的相关危险因素。Logistic回归筛选出孕囊最大直径和剩余肌层厚度可作为预测术中出血量的独立危险因素,截断值分别为32.5 mm和2.45 mm。本研究认为剩余肌层厚度和孕囊最大直径是预测CSP术中出血量的独立危险因素。To explore the risk factors affecting intraoperative bleeding volume in cesarean scar pregnancy(CSP)after cesarean section,and to search for clinical and ultrasound indicators that can predict intraoperative bleeding volume in CSP.A retrospective study was conducted to analyze the clinical and ultrasound data of 133 patients with CSP,and the patients were divided into group A(bleeding volume<100 mL)and group B(bleeding volume≥100 mL)based on whether the intraoperative bleeding volume was more than 100 mL.Logistic regression model was used to analyze the risk factors related to intraoperative bleeding volume in patients.Logistic regression model screened the maximum diameter of gestational sac and the residual myometrial thickness as independent risk factors for predicting intraoperative bleeding volume,with cutoff values of 32.5 mm and 2.45 mm,respectively.In this study,we concluded that residual myometrial thickness and the maximum diameter of gestational sac are independent risk factors for predicting intraoperative bleeding volume during CSP.

关 键 词：超声 剖宫产切口部妊娠 术中出血量 危险因素 

分 类 号：R445.1[医药卫生—影像医学与核医学] R719.8[医药卫生—诊断学]